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DR. LARRY WAYNE NISSEN DDS
NPI 1386777183
Dentist - Oral and Maxillofacial Surgery in Merritt Island, FL

Active since March 13, 2007
280 N SYKES CREEK PKWY, SUITE C, MERRITT ISLAND, FL 32953(321) 452-5500(321) 452-2125 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Larry Wayne Nissen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY WAYNE NISSEN DDS (NPI 1386777183) is an individual oral and maxillofacial surgery provider in Merritt Island, Florida, licensed in Florida (7315) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1386777183
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LARRY WAYNE NISSENCredential: DDS
Location Address280 N SYKES CREEK PKWY, SUITE CMerritt Island, FL 32953-3491
Mailing Address280 N Sykes Creek Pkwy Ste CMerritt Island, FL 32953-3491 · (321) 452-5500 · Fax (321) 452-2125
Phone(321) 452-5500
Fax(321) 452-2125
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386777183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · 7315
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
280 N SYKES CREEK PKWY, Merritt Island, FL 32953
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANK X VENZARA MDPA
Legal Medicine
280 N SYKES CREEK PKWY, SUITE A
MERRITT ISLAND, FL 32953
Brevard County (321) 452-3882
DR. ROBERT L. BASHORE M.D.
Plastic Surgery
280 N SYKES CREEK PKWY, SUITE A
MERRITT ISLAND, FL 32953
Brevard County (321) 452-3882
DR. FRANK X. VENZARA M.D.
Plastic Surgery
280 N SYKES CREEK PKWY, SUITE A
MERRITT ISLAND, FL 32953
Brevard County (321) 452-3882
MR. ROBERT STANLEY PATT II CRNA
Nurse Anesthetist, Certified Registered
280 N SYKES CREEK PKWY, SUITE A
MERRITT ISLAND, FL 32953
Brevard County (321) 452-3882
DR. RICHARD D KOENIG DPM
Podiatrist (Foot & Ankle Surgery)
280 N SYKES CREEK PKWY
MERRITT ISLAND, FL 32953
Brevard County (321) 452-5133
DR. FRANK XAVIER VENZARA III M.D.
Ophthalmology
280 N SYKES CREEK PKWY, SUITE B
MERRITT ISLAND, FL 32953
Brevard County (321) 735-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Nissen's NPI number?

The NPI number for Larry Nissen is 1386777183. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Larry Nissen located?

Larry Nissen practices at 280 N Sykes Creek Pkwy Suite C, Merritt Island, FL 32953. The listed phone number is (321) 452-5500.

What is Larry Nissen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Larry Nissen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.